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Vivid 95

Manufactured by GE Healthcare
Sourced in United States, Norway

The Vivid 95 is a diagnostic ultrasound system designed for general imaging applications. It features advanced imaging technologies and a user-friendly interface.

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6 protocols using vivid 95

1

Comprehensive Echocardiographic Evaluation

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Echocardiographic examination was performed by a Vivid 95 ultrasound machine (GE Healthcare, Horten, Norway). The values of all 2D parameters were obtained as the average value of three consecutive cardiac cycles. LV diameters, interventricular septum, posterior wall thickness and relative wall thickness were evaluated in long-axis parasternal view [17 (link)]. LV ejection fraction (EF) was assessed by the modified Simpson’s method of discs. LV mass was calculated by using the formula of the American Society of Echocardiography [17 (link)], and indexed for BSA.
Transmitral Doppler inflow and tissue Doppler velocities were obtained in the apical 4-chamber view. Pulsed Doppler measurements included the ratio between the transmitral early and late diastolic peak flow velocity (E/A). Tissue Doppler imaging was used to obtain LV myocardial velocities at the septal and lateral segment of the mitral annulus during early and late diastole (e′ and a′).
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2

Overnight Echocardiography Quality Analysis

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This prospective study included 799 consecutive inpatient TTEs acquired and interpreted by cardiology fellows from 2/12/2013 until 8/31/2017 at the Beth Israel Deaconess Medical Center, Boston, Massachusetts. TTE was performed using a commercial system (Vivid 7, Vivid 9, Vivid 95, Vivid q, Vivid s70, GE Healthcare, Chicago, Illinois, USA). Images were obtained using 2-dimensional imaging and Doppler as deemed appropriate by the performing cardiology fellow to answer a clinical question. TTEs were acquired after regular business hours (between 5 PM and 7 AM on weekdays and anytime on weekends/holidays. Fellows were not expected to complete full studies and did not have access to ultrasound contrast. All TTE images were stored digitally.
We excluded TTEs that were (1) performed by sonographers (n = 2), (2) had missing preliminary fellow interpretation (n = 3), (3) missing information regarding agreement information between fellow and attending interpretations (n = 11), (4) missing patient information (n = 6). The remaining 777 echocardiograms were included in our final analytic sample.
The study was Institutional Review Board approved which waived informed consent.
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3

Doppler Echocardiography Image Dataset

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We used a private dataset of 2444 images showing continuous wave and pulsed wave Doppler flows collected from 100 patients who were referred for echocardiographic examination in the Clinical Center at the National Institutes of Health (NIH). The use of these de-identified images was approved by the NIH Ethics Review Board (IRB#18-NHLBI-00686). The Doppler traces of the mitral valve flow (MV), mitral annular flow (MA), and tricuspid regurgitation flow (TR) were acquired using different commercial echocardiography systems including Philips iE33, GE Vivid95, and GE Vivid9. Each Doppler image has a flow type label (TR, MV, or MA) and a segmentation mask provided by an expert technician, which separates the spectral envelope from the background. Besides, the expert technician assessed the quality of a subset of images (814 out of 2444) as low- or good-quality. All GT annotations (global labels and binary masks) provided by the expert technician were further verified by an expert cardiologist. Fig. 3 shows labeled image examples from the Doppler echo dataset.
All the images were resized to 256 × 256 using bicubic interpolation (OpenCV built-in function). We then performed mean normalization.
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4

Comprehensive Echocardiographic Assessment

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Conventional echocardiography with a 3.5–5 MHz phased array transducer was performed including 2-dimensional, M-mode, pulsed wave, and TDE using a Vivid 95 ultrasound machine (General Electric Health Care, WI, USA). Images were acquired with the patient in left lateral decubitus using a MHz transducer at a depth of 16 cm. ECG was recorded, and 3 consecutive cardiac cycles of each view were recorded during quiet breathing. Conventional echocardiographic measurements were obtained from the parasternal and apical views according to the American Society of Echocardiography guidelines.19 (link) The Left atrium (LA) diameter was measured from the parasternal long-axis view, while the maximal LA volume index (LAVI) was performed by applying Simpson's rule from apical 4-chamber imaging. Left ventricular (LV) ejection fraction was estimated by modified Simpson's rule. Trans mitral pulsed-wave Doppler velocities were recorded from the apical four-chamber view with the Doppler sample placed between the tips of the mitral leaflets. Early (E) and late (A) wave peak velocities were analysed.
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5

Comprehensive Cardiac Ultrasound Evaluation

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All study participants underwent comprehensive two-dimensional echocardiography using Doppler and tissue Doppler imaging via commercially available ultrasound systems equipped with harmonic imaging (Vivid 9 or Vivid 95, GEHealthcare, General Electric Corp., Waukesha, WI, USA). The test was performed with the patient in left lateral decubitus position. The left ventricle ejection fraction was calculated based on the fraction area change in two dimensions. The function of the heart valves, the presence of fluid in the pericardial sac, the size of the heart cavities, and the presence of regional contractility disorders were also assessed.
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6

Comprehensive Transthoracic Echocardiography Assessment

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A comprehensive transthoracic echocardiogram (TTE) was performed by an experienced graduated medical doctor specialized in VHD according to current guidelines [9] [10] [11] using state-of-the-art echocardiographic ultrasound systems (Vivid 9 or Vivid 95, GE Healthcare, Horten, Norway). All Doppler echocardiographic data were stored on a dedicated workstation (Echo-PAC software v203 GE Healthcare) for subsequent offline analysis. A symptom-limited maximal bicycle exercise test was performed the same day in semi-supine position (eBike EL, GE Healthcare) and all exercise 2D and Doppler data were obtained at low (25 W) and at peak exercise as previously described. 12, 13 No medication was stopped before ExE. Peak exercise pulmonary hypertension (ExPHT) was defined as an exercise increase in SPAP >60 mmHg at peak exercise, 4 and abnormal LV contractile reserve (CR) as an increase LV ejection fraction (EF) lower than 4% 5 as previously described. Changes in MR severity [effective regurgitant orifice area (EROA)] 3 and RV function assessed by tricuspid annular plane systolic excursion 6 were also evaluated.
Patients were categorized using quantitative (EROA and regurgitant volume) and semi-quantitative parameters (time velocity integral mitral/ aortic ratio and systolic flow reversal in the pulmonary vein) as previously described. 14
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